DOUGLAS MITCHELL (NPI# 1255350823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255350823 |
| Entity Type | Individual |
| Full Name | DOUGLAS MITCHELL |
| Credential | MD |
| Practice Address |
2117 Mccomas Way Ste. 103 Virginia Beach VA 23456-3908 |
| Practice Telephone | 7576686715 |
| Practice Fax Number | 7576686680 |
| Mailing Telephone | 7576686715 |
| Mailing Fax Number | 7576686680 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101048453 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | OPTIMA, FAMILY CARE,FAMIS | 15992 | 01 |
| NC | 890685R | 05 | |
| VA | ANTHAM BCBS,HK,HK+,FAMIS | 144741 | 01 |
| NC | NC HEALTH | 541778786 | 01 |
| VA | ALLIANCE,MDIPA,MAMSI | 814949 | 01 |
| VA | 10076714 | 05 | |
| VA | CIGNA | 5417787860571E | 01 |
| VA | AETNA | 4262560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144644394 | Douglas Mitchell | Counselor | 3507 N 25th Pl, 3507 N 25th Pl, Phoenix, AZ 85016-7429 | 2014-02-08 |
| 1992954705 | Douglas L. Mitchell | Counselor | 610 Elm Street, Ste. 212, San Carlos, CA 94070 | 2008-09-17 |
| 1891914586 | Douglas S Mitchell | Dentist | 2145 Central Ave, Alameda, CA 94501-2899 | 2007-04-24 |
| 1861573545 | Douglas Nathan Mitchell | Chiropractor | 111 Felton Dr, Rockmart, GA 30153-2013 | 2006-10-18 |
| 1083614481 | Douglas Mitchell | Hospitalist | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 | 2005-07-28 |
| 1780029389 | Douglas Mitchell | Massage Therapist | 139 S Main St, Nazareth, PA 18064-2016 | 2013-05-08 |
| 1063748440 | Douglas Roy Mitchell | Pathology | 200 Portland St, Columbia, MO 65201-6525 | 2009-10-20 |
| 1033443601 | Douglas Mitchell | Specialist | 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102 | 2009-09-29 |
| 1922131606 | Douglas Mitchell | Physical Therapist | 25229 S Sun Lakes Blvd, Ste 119, Sun Lakes, AZ 85248-6453 | 2007-03-13 |
| 1528017175 | Douglas Haig Mitchell Jr. | Social Worker | 650 E Indian School Rd, Cs/122, Phoenix, AZ 85012-1839 | 2006-05-10 |
| Street Address |
2117 MCCOMAS WAY STE. 103 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23456-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548201973 | Megan K Bazil | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2006-06-09 |
| 1215220355 | Mary Vaughn Smith Desoto | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2011-05-23 |
| 1952690208 | Daniel I. Dison | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2011-04-06 |
| 1952562993 | Kristin K Hutchinson | Pediatrics | 2117 Mccomas Way, Virginia Beach, VA 23456-3908 | 2008-06-23 |
| 1366597114 | Childrens Medical Group Inc | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2007-01-24 |
| 1376562926 | Michelle Bartimoccia | Pediatrics | 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | 2006-07-18 |
| 1891714499 | David Norris | Pediatrics | 2117 Mccomas Way, Ste.103, Virginia Beach, VA 23456-3908 | 2006-07-18 |
| 1003833757 | Michele Wadsworth | Pediatrics | 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | 2006-07-17 |
| 1558388207 | Elizabeth Mcgloon | Pediatrics | 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | 2006-07-17 |
| 1629003231 | Christy Fontana | Pediatrics | 2117 Mccomas Way, Ste. 103, Virginia Beach, VA 23456-3908 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336679349 | Joelene Grandy | Contractor | 1892 Riverrock Arch, Virginia Beach, VA 23456 | 2017-06-13 |
| 1023568995 | Red Mill Pediatric Dentistry and Behl Orthodontics Pllc | Dentist | 2033 Fisher Arch, Ste 100, Virginia Beach, VA 23456 | 2016-10-04 |
| 1609235803 | Maria Teresa Olivas | Registered Nurse | 3212 Fluuanna Circle, Virginia Beach, VA 23456 | 2016-02-16 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1598153785 | Harris Teeter LLC | Pharmacy | 2105 Princess Anne Road, Suite 100, Virginia Beach, VA 23456 | 2014-12-23 |
| 1881034023 | Kimberly Ann Benson | Dentist | 2105 Princess Anne Road, Suite 108, Virginia Beach, VA 23456 | 2013-07-02 |
| 1124378450 | Phyllis A. Wilson | Psychologist | 1249 Eagle Way, Virginia Beach, VA 23456 | 2012-09-13 |
| 1033477807 | Wolfgang J. Bay | Dentist | 1625 Salem Road #101, Virginia Beach, VA 23456 | 2012-04-30 |
| 1881974475 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2232 General Booth Blvd, Virginia Beach, VA 23456 | 2011-08-26 |
| 1780988857 | Casey Snyder | Dentist | 2484 North Landing Road, Virginia Beach, VA 23456 | 2011-01-05 |
| Find all providers in zip 23456 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629428560 | Daniel Garcia | Pediatrics | 1924 Landstown Centre Way, Virginia Beach, VA 23456-1624 | 2016-06-21 |
| 1740546134 | Partners In Pediatric Care, P.C. | Pediatrics | 324 Louisa Ave Ste 118, Virginia Beach, VA 23454-4669 | 2012-04-10 |
| 1780906479 | Isaac G. Doron | Pediatrics | 117 66th St, Virginia Beach, VA 23451-2016 | 2010-02-22 |
| 1063612554 | Valeria Noelia Higinio | Pediatrics | 2088 Princess Anne Rd, Virginia Beach, VA 23456-4014 | 2007-07-23 |
| 1508903550 | Joseph W Familant | Pediatrics | 5700 Thurston Ave Ste 107, Virginia Beach, VA 23455-3302 | 2007-01-31 |
| 1649325242 | Childrens Medical Group Inc | Pediatrics | 4505 Columbus St Ste 250, Virginia Beach, VA 23462-5011 | 2007-01-24 |
| 1265517627 | Maria Teresa Josefa Tomas Torralba | Pediatrics | 804 Perez Ct, Virginia Beach, VA 23456-6730 | 2006-10-26 |
| 1548201973 | Megan K Bazil | Pediatrics | 2117 Mccomas Way, Suite 103, Virginia Beach, VA 23456-3908 | 2006-06-09 |
| 1700844016 | Laura Alois Charette | Pediatrics | 2021 Concert Dr, Suite 202, Virginia Beach, VA 23456-8082 | 2006-05-03 |
| 1154382018 | Ghazala Y Khan | Pediatrics | 4221 Pleasant Valley Rd, Suite 114, Virginia Beach, VA 23464-8519 | 2006-03-30 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23456 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.